| NPI | 1932392172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM JOY RATHBONE Provider And Owner 503-905-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR 092006979N7) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |